Job Description
*Responsibilities:*
* Identify the targeted risk population per PCP referral, risk stratification, and patient lists
* Handle case management assignments, review case progress in accordance to center guidelines
* Coordinate patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team. Foster a team approach and includes patient/family as active members of the team
* Create and update personalized health care plans for patients by assessing patient’s wellness, needs, preferences and ability to utilize the care plans
* Communicate and establish effective working relations with care team
* Advocate and work with patient and patients’ family to achieve treatment goals
* Educate patients and caregivers about their health care plan and health care options
* Conduct regular follow-ups with patient to evaluate progress, ensure continuity of care and promote optimal health outcomes
* Summarize report relevant to care management activity
* Maintain care management documentation in electronic health records
* Establish linkage to external social services programs, specialist services and payer’s care management services
* Participate in clinical service team meeting/activities
* Update knowledge base relevant to service population
* Perform other duties as assigned
*Minimum Qualifications:*
* Bachelor’s degree (health care related preferred)
* Bilingual in English and Chinese (Mandarin and Cantonese)
* Capacity for working on weekends preferred
* Experience in health care setting preferred
* Motivated individual able to work in a team and be self-directed
* Strong interpersonal and communication (written and verbal) skills
* Basic computer skills
*Compensation and Benefits:*
* Salary: $40,000.00 - 46,000.00 per year
* Medical insurance
* Employer-paid dental, vision, disability and life insurance
* 403(b) retirement savings plan
* Flexible spending accounts for transit, parking, health and dependent care
* Paid time off (28 days for the first year of employment)
* Employee Assistance Program
* Tuition reimbursement for eligible employees, and
* The Health Center is qualified for Public Service Loan Forgiveness (PSLF) program
Job Type: Full-time
Pay: $40,000.00 - $46,000.00 per year
Benefits:
* 403(b)
* Dental insurance
* Disability insurance
* Employee assistance program
* Flexible spending account
* Health insurance
* Life insurance
* Paid time off
* Tuition reimbursement
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
Work setting:
* In-person
Work Location: In person
Job Tags
Permanent employment, Full time, Flexible hours, Shift work, Weekend work, Day shift,